MOQATTASH MEDICAL GROUP INC. NPI 1043723562

NPI Information

MOQATTASH MEDICAL GROUP INC. is a primary care clinic center in Apple Valley, CA. MOQATTASH MEDICAL GROUP INC. NPI is 1043723562. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Modele Primary Care.

The provider's business location address is:

15982 QUANTICO RD STE E
APPLE VALLEY, CA
ZIP 92307-382
Phone: (760) 906-9362
Fax: (760) 503-0064

The provider's authorized official is Leonardo Moqattash .
The authorized official title is President and has the following contact phone number (909) 894-6737.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 9/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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